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There are also methylmalonic acid (MMA) tests that provide a more complete analysis of the vitamin B12 available in your body

If you have low levels or a proven deficiency, you may benefit from supplementation which can be discussed during a consultation where you may be prescribed Vitamin B12 booster injections

Drug Interactions Several common medications reduce B12 absorption: Metformin (diabetes) significant reduction in B12 absorption Proton pump inhibitors (Omeprazole, Pantoprazole) reduce stomach acid needed for absorption H2 blockers (Ranitidine, Famotidine) similar effect to PPIs Colchicine (gout) may reduce B12 absorption If you take any of these medications long-term, B12 supplementation is strongly recommended

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